| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
35,248 |
29,983 |
$3.58M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
22,476 |
20,134 |
$3.08M |
| A0425 |
Ground mileage, per statute mile |
74,703 |
55,455 |
$938K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,939 |
9,613 |
$686K |
| A0130 |
Non-emergency transportation: wheelchair van |
20,325 |
4,162 |
$445K |
| S0209 |
Wheelchair van, mileage, per mile |
20,349 |
4,160 |
$114K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,065 |
1,000 |
$81K |